Provider Demographics
NPI:1639508898
Name:MONNIER, EMILY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MONNIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 W HAYDEN AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:ID
Mailing Address - Zip Code:83835-8747
Mailing Address - Country:US
Mailing Address - Phone:208-625-1985
Mailing Address - Fax:
Practice Address - Street 1:1130 W HAYDEN AVE STE 201
Practice Address - Street 2:
Practice Address - City:HAYDEN
Practice Address - State:ID
Practice Address - Zip Code:83835-8747
Practice Address - Country:US
Practice Address - Phone:208-625-1985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-6296101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health